Los Alamos Wellness & Rehabilitation
Los Alamos Wellness & Rehabilitation in Los Alamos, NM — inspection on March 30, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
[DATE], revealed the following:1.
Staff documented a BIMS score of 2.2.
Staff documented R #43 is
more than half the effort.
Helper lifts or holds trunk or limbs and provides more than half the effort)
01/29/26 at 7:44 PM, R #43 was sent to the ER for evaluation after a fall. b. On 01/30/26 at 9:30 AM, R #43 returned from the hospital. K.
Record review of R #43's medical record, no date, revealed R #43 was not discharged from the facility on 01/29/26. L.
Record review of hospital discharge instructions, dated [DATE], revealed R #43 was discharged from the hospital at 10:16 PM. M. On 03/26/26 at 3:31 PM, during an interview, the Administrator confirmed that R #43 was transferred to the hospital on [DATE].
The Administrator stated that she was notified that R #43 was discharged on 01/29/26 at approximately 10:30 PM.
The Administrator stated the facility always attempts to pick up residents as soon as possible after discharge from the hospital.
The Administrator stated that the facility does not have 24-hour transportation.
The Administrator confirmed that R #43 was not picked up from the hospital until 01/30/26 at approximately 9:00 AM.
The Administrator stated that the hospital is responsible for the residents until the facility can pick them up, even after they have been discharged from the hospital. N. On 03/26/26 at 4:04 PM, during an interview with the ERN, she stated that R #43 arrived at the hospital on [DATE] at approximately 7:30 PM.
She stated that R #43 was discharged at approximately 10:16 PM on 01/29/26. ERN stated she made several calls to the facility.
The calls went to voicemail.
The ERN stated that she was finally able to reach the Administrator on the Administrator's cell phone.
The Administrator assured the ERN facility staff was on their way to pick R #43 up.
The ERN stated that she talked to the Administrator approximately 3 more times after the initial contact.
The ERN stated the Administrator stopped answering calls.
Facility staff did not pick R #43 up until 01/30/26 at approximately 9:00 AM.
The ERN stated that through the 11 hour wait, R #43 was confused and was trying to get up out of bed.
The ERN stated that R #43 became more confused as the night progressed.
325056 03/30/2026
Los Alamos Wellness & Rehabilitation 1011 Sombrillo Court Los Alamos, NM 87544
[DATE].
- On 03/17/26, R #43 was transferred to the hospital due to unresponsiveness.
I.
Record review of R #43's medical record, no date, revealed staff did not document a written transfer notice or written bed hold notice for her transfers to the hospital on [DATE] or 03/17/26.
J. On 03/27/26 at 10:12 AM, during an interview, the SSD stated the following:
- Staff did not document a transfer notice or a bed hold notice for R #26's transfer to the hospital on
- She does not notify the Ombudsman about transfers to the hospital.
- She emails a list of all residents who were discharged from the facility to the Ombudsman monthly.
- She does not send a written copy of the transfer or discharge notices to the Ombudsman.
[DATE].